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This is VAERS ID 26498

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26498
VAERS Form:
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE - / 3 L / -
HIBV: PROHIBIT / CONNAUGHT LABS - / - L / -
OPV: ORIMUNE / LEDERLE - / 3 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, DYSPNEA, ANOREXIA, DEHYDRAT, DIABETES MELL

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 12/30/2006

VAERS ID: 26498 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE - / 3 L / -
HIBV: PROHIBIT / CONNAUGHT LABS - / - L / -
OPV: ORIMUNE / LEDERLE - / 3 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, DYSPNEA, ANOREXIA, DEHYDRAT, DIABETES MELL

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" /"spacey/" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 12/8/2009

VAERS ID: 26498 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-12 1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES - / 3 L / -
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / - L / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES - / 3 - / PO

Administered by: Private      Purchased by: Unknown Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence, FEVER, DYSPNEA, ANOREXIA, DEHYDRAT, DIABETES MELL

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite /"spacey/" "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 5/14/2017

VAERS ID: 26498 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 3 L - / - L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / - L - / - L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / 3 - / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 9/14/2017

VAERS ID: 26498 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 3 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / - UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 3 4 - MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 2/14/2018

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 6/14/2018

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 8/14/2018

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 9/14/2018

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 10/14/2018

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 12/24/2020

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.


Changed on 12/30/2020

VAERS ID: 26498 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Connecticut
Vaccinated:1988-03-28
Onset:1988-03-28
Submitted:1990-10-30
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 4 - / L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES - / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 4 MO / PO

Administered by: Private      Purchased by: Other
Symptoms: Anorexia, Dehydration, Diabetes mellitus, Dyspnoea, Hypotonia, Influenza, Insomnia, Pyrexia, Screaming, Somnolence

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: Otitis media - resolving
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/HIB 8 hrs following injections pt crying steadily & limp unable to stand or sit even propped up. Mentally quite "spacey" temp 101F on acetaminophen all night & sleep was disturbed. see WORM for more details.

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